Bill To:


PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:


Johnny Day
Policy # 930320212


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-45 N. Bound @ 214 - Streetman, Texas

    Ordinance Info: Richland Billing Ordinance NO. 170 Cost Recovery

Subtotal $550.00
Total Due $550.00


Updated
May 14, 2021 @ 6:24 pm

Invoice updated by Geoffrey.

Status Update
May 14, 2021 @ 6:24 pm

Status changed: Draft to Pending.

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